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Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
June, 2009, Vol. 09, Issue 06
Time to Get Creative
By Jenn Sommermann, LCMT
Currently, there are two factors happening simultaneously that can greatly affect your massage therapy practice. Both are equally important. No article would be complete without talking about the economy.An educated, savvy clientele can also impact the bottom-line. I believe these two factors, the economy and a more educated clientele, are the key factors affecting the practice of every massage therapist. Now is the time to dig deep, think outside the box and be more creative in the ways you approach marketing, client retention and referral programs.
If you read my last article, "Make Your Client's Experience Memorable" (April 2009 issue), you learned that positioning yourself on the side of health care versus personal care, makes you less likely to suffer in this economic down turn. Clients are forgoing some personal care services in effort to save money or redirect spending. But amazingly, health care has not suffered as much. If your massage services are considered health care, chances are you are managing these troubled times and will come out on the other side in good shape. This is all about educating the client and it starts with you.
The general population is also learning more about massage services and complementary health care, in general. They are more educated about the benefits of massage therapy, more discerning and seeking massage more frequently and in higher numbers. In fact, according to the American Massage Therapy Association's 2009 Industry Fact Sheet, 24 percent of American adults received a massage in the last 12 months. They just plain know more. You need to approach them in ways that speak to them; address what they want and need and entice them to use your services.
I believe these two factors, the economy and a more educated clientele, have forced the need for you to go beyond what you are currently doing. Gone are the days when you can rest on your reputation to keep new business coming in. Today you must be creative, passionate and vigilant in the way you pursue new business, keep your existing business coming back for more, and obtain referrals. This can be broken into three categories: marketing - bringing in the new clients; client retention - keeping the clients you have; and referral programs - obtaining new clients from the existing ones.
What creative ways are you marketing your services? Are you marketing health care or personal care? Too often I see massage therapists rely on printed marketing materials to gain new clients. In today's world, printed materials are not as effective, as the marketing platform is already saturated. What "out-of-the-box" method can you use to drum up new business? This past Valentine's Day, I went to my local florist and gave her six complimentary half hour gift certificates (with the ability to upgrade to an hour for an additional $45). I asked her to put the gift certificates in the floral arrangements of her five "high-end" customers, within a geographic area that I prescribed and keep one gift certificate for herself. She loved the idea. It made her arrangements more desirable and special and it got my name out to folks in a very personal way. Nothing beats a personal referral and the florist's recommendation was "golden."
What percentage of your client's reschedule? If you don't know, it is a statistic you should start keeping track of. Shooting for 100 percent is great but probably unrealistic. If you want a full practice, shooting for 85 percent is a good goal. What do you do to keep them coming back? What makes them feel special? Do you ask them to reschedule or at least plant the seed that massage has cumulative benefits? I always do a 24-hour follow-up call with new clients. I tell the client that I will be contacting them the next day. I call to see how they responded to the treatment, how they slept and gather any other information that can help me adjust my treatment next time accordingly. This implies that there will be a next time. The seed is planted. It also means the hour session lasts longer, because I am thinking about them long after the time is up and the payment has been made. The clients get more value for their fee. More value equals happier clients, especially in today's economy. Happier clients mean higher retention.
So now you have new clients coming in and you are keeping them in your practice. You're half way there. What creative method can you use to entice those happy clients to bring in more business? How can you get them to consistently refer? The single best thing I do to get referrals is to turn down tips. YEP ... turn away money. I say, "Thank you so much but the best tip you can give me is the referral of your family and friends." Everyone wins here. Do the math. Would you rather have the $10 now or the $75 from a new client?
If you are struggling with your practice or if you need a jump-start towards more clients, be resourceful. Talk to successful colleagues and find out what they do to boost business. Times are tough and folks are smarter about massage. In order to keep up with these trends, you need to think outside the box. Now is the time to get creative.
Click here for previous articles by Jenn Sommermann, LCMT.
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